Janci Blodgett, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN205220 Issued in CA

Practice address

2040 Nuuanu Ave
#404
Honolulu, HI 96817-2517

Phone

(951) 634-5655

NPI assigned

Jul 25, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Janci Idyk Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1427248574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 NUUANU AVE",
            "address_2": "#404",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172517",
            "telephone_number": "951-634-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 NUUANU AVE",
            "address_2": "#404",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172517",
            "telephone_number": "951-634-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLODGETT",
        "first_name": "JANCI",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN205220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANCI",
            "last_name": "IDYK",
            "credential": "LVN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Blasquez
• Blessin Health LLC
• Pamela Kaye Blessum
• Jacob Wiley Blickenstaff, M.D.
• Jacob Samuel Blitstein, DO
• Karen Kae Blonigan
• Joseph Robert Bloom, LCSW
• Melissa M Bloom, M.D.
• Toni M Bloom, LCSW
• Blooming Minds Wellness Nook

• All providers in Honolulu, HI
• Licensed Vocational Nurse in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.